Individual provider Active NPI

Seth P Fader, DO

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1225190978
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00002004 Issued in WA
Practice address
2513 152ND Ave NE
Redmond, WA 98052-5574
Phone
(425) 301-8190
Fax
(425) 300-1081
NPI assigned
Dec 15, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00002004 WA Primary

Addresses

Primary practice location

2513 152ND Ave NE
Redmond, WA 98052-5574

Mailing address

PO Box 1281
Bellevue, WA 98009-1281
Phone (425) 301-8190

Other practice location 1

22707 SE 29th St
Sammamish, WA 98075-9532
Phone (425) 455-2845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 28, 2025 through Jan 28, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3488AZMDClinical Psychologist
OP00002004WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward a. Helman Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1225190978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1281",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091281",
            "telephone_number": "425-301-8190",
            "fax_number": "425-300-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525574",
            "telephone_number": "425-301-8190",
            "fax_number": "425-300-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22707 SE 29th St",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980759532",
            "country_code": "US",
            "telephone_number": "425-455-2845",
            "fax_number": "425-861-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADER",
        "first_name": "SETH",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.